Elgin Community College Dual Credit Application

Call: 847-214-7887

Dual Credit Online Application Form

This application is for Dual Credit students ONLY. You must be a current high school student to apply using this form.

If you are unsure if you should use the Dual Credit Application, please email dualcredit@elgin.edu or call 847-214-7887.

If you are not a Dual Credit student, please select a different application on the Apply page:

ECC Application - If you are a traditional student
International Students - If you plan to study in the United States on an F-1 visa
Adult Education - If you are interested in high school equivalency/GED or English as a Second Language classes

Your Contact Information

Important: Please ensure all personal information is entered accurately and completely. Any incorrect details or typographical errors may cause delays in the enrollment and registration process.

First Name:

Middle Initial:

Last Name:

Preferred First Name:

Preferred Middle Initial:

Date of Birth:

SSN or ITIN: ?

Email: ?

Use a personal email address not your high school email address.

Primary phone:

Street: (Example: 123 Maple Street, Apt 3)

ZIP:

City:

State:

Are you in the United States on a Non-Immigrant Visa? ?
YesNo

Select Visa type: If you are in the United States on an F-1 or M-1 visa, apply as international student.

Select a home country:

Your Profile

Your Academics/Credentials

High School

Anticipated high school graduation year:

What high school grade will you be when you start taking Dual Credit classes?

High School ID Number

Your Enrollment

What is your primary ECC Academic Goal?
Full-Time at ECC starting Junior year
Take classes full-time at ECC to graduate with my high school diploma and an Associate degree at the same time
Full-Time at ECC starting Senior year
Take classes full-time at ECC to receive my high school diploma and obtain some college credits to transfer to ECC or another college/university after graduation
Part-time at ECC
Take some classes at my high school and some at ECC to complete my high school diploma and obtain some college credits to transfer to ECC or another college/university after graduation
Dual Credit in the High School
Complete my high school diploma while taking college level courses only at my high school

Intended start term:

Reason for Enrollment:

To give me a head start on earning credits before I attend ECC

To transfer credits to a four-year college or university or to another community college after HS graduation

To prepare for a future job after graduating from high school

To help me prepare for the rigors of going to college full time

Plan to work while attending ECC (hours per week):

Other Contacts

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Relationship:

Parent/Guardian Primary Phone:

Parent/Guardian Email:

Same as student address

Parent/Guardian Street:

Parent/Guardian ZIP:

Parent/Guardian City:

Parent/Guardian State:

Emergency Contact First and Last Name:

Emergency Contact Relationship:

Emergency Contact Phone Number:

Authorization

I understand my Dual credit Courses and grades will become part of my permanent ECC transcript.
I understand that I may need to take tests or submit scores from standardized tests before I will be registered into certain courses.
I understand that if I stop attending a course or want to avoid a poor final grade on my college transcript, I need to formally withdraw from the course before the withdrawal deadline.

Applicant Signature:

I hereby certify that the information furnished herein is true and complete to the best of my knowledge. I understand that inaccuracies and/or false information will be cause for rejection or dismissal.

Parent/Legal Guardian Signature:

If the student is under 18, parent/guardian must consent to the above by entering their name.

Please read through the content and scroll to the bottom to click the box acknowledging you have read the information. Terms and Conditions and Privacy Policy.